An 18-month-old boy presents with a 2-day history of fever (102.5°F), irritability, and tugging at his right ear. Otoscopic examination reveals a bulging, erythematous right tympanic membrane with impaired mobility. He has no other significant medical history. What is the most appropriate initial management?
✓ Correct Answer: Option B
For a child under 24 months with definite acute otitis media (bulging tympanic membrane, moderate-severe otalgia, or fever), antibiotic treatment (e.g., high-dose amoxicillin) is recommended. Watchful waiting is typically reserved for older children or less severe cases.